| Pediatric cervicofacial necrotizing fasciitis: a case report and review of a 10-year national pediatric database. | |
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MedLine Citation:
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PMID: 22508620 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To present a case of a pediatric cervicofacial necrotizing fasciitis (NF), a rapidly progressive infection, and a review of a 10-year pediatric inpatient database. DESIGN: Case report and review. SETTING: Pediatric intensive care unit. PATIENTS: A healthy 5-year-old male who developed NF of the lower lip 36 hours following minor trauma. International Classification of Diseases, Ninth Revision, code 728.86 (NF), was the inclusion criteria for the Kids' Inpatient Database (KID) in 1997 and 2006. RESULTS: A pediatric case is presented with a thorough photographic record demonstrating the need for rapid diagnosis and treatment. In a review of the KID from 1997 and 2006, the relative risk of being discharged with NF in 2006 vs 1997 was 1.4 (95% CI, 9.95-2.28). Age at diagnosis of NF was older in 2006 compared with 1997 (11.5 years vs 8.05 years; P < .001). Deaths with a diagnosis of NF increased from 1997 compared with 2006: from 3.9% to 5.4%. In 2006, the odds of death were 15.1 times higher in pediatric discharges with a diagnosis of NF compared with discharges without a diagnosis of NF (P < .001; 95% CI, 9.3-23.1). CONCLUSIONS: Even with the advent of new treatments and antibiotics, the incidence and death rates of NF have changed little over the past 10 years. While it is still a rare diagnosis, knowledge and awareness of necrotizing fasciitis with aggressive medical and surgical treatment are still the foundation in disease survival. |
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Authors:
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Ericka King; Robert Chun; Cecille Sulman |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Extramural; Review |
Journal Detail:
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Title: Archives of otolaryngology--head & neck surgery Volume: 138 ISSN: 1538-361X ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-17 Completed Date: 2012-06-04 Revised Date: 2013-01-17 |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 372-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology, Medical College of Wisconsin, 9000 W Wisconsin Ave, PO Box 1997, Ste 550, Children's Hospital Clinics Building, Pediatric Otolaryngology Offices, Milwaukee, WI 53226, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Child, Preschool Combined Modality Therapy Databases, Factual Debridement Fasciitis, Necrotizing / diagnosis*, microbiology, mortality, therapy* Humans Hyperbaric Oxygenation Lip / injuries* Lip Diseases / diagnosis*, microbiology, mortality, therapy* Male Reconstructive Surgical Procedures United States / epidemiology Wisconsin / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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1UL1RR031973/RR/NCRR NIH HHS; UL1 RR031973/RR/NCRR NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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